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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KETTMAN PSYCHIATRIC PRACTICE PC
NPI 1477460020
Nurse Practitioner - Psychiatric/Mental Health in Waterloo, IA

Active since August 27, 2026
110 PLAZA CIR STE A, WATERLOO, IA 50701(319) 236-7720 Get Directions Write a Review

NPPES record added: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kettman Psychiatric Practice Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETTMAN PSYCHIATRIC PRACTICE PC (NPI 1477460020) is a healthcare organization registered as a psychiatric/mental health in Waterloo, Iowa and active in the NPI registry since August 2026. The organization lists Kimberly Adame, Billing Admin, as its authorized official.

NPPES Registry Identity

NPI1477460020
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKETTMAN PSYCHIATRIC PRACTICE PC
Location Address110 PLAZA CIR STE AWaterloo, IA 50701-5139
Mailing AddressPo Box 310674New Braunfels, TX 78131-0674 · (319) 236-7720 · Fax (319) 236-7739
Phone(319) 236-7720
Organization SubpartNo
Authorized OfficialKimberly AdameBilling Admin · (830) 320-3852
Enumeration DateAugust 27, 2026
NPPES CertifiedAugust 27, 2026
✔ NPI 1477460020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
110 PLAZA CIR STE A, Waterloo, IA 50701
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW KETTMAN MD PC
Family Medicine
110 PLAZA CIR STE A
WATERLOO, IA 50701
Black Hawk County (830) 320-3852
MRS. MARYJANE COSE ARNP
Nurse Practitioner (Family)
110 PLAZA CIR STE A
WATERLOO, IA 50701
Black Hawk County (319) 236-7720
MATTHEW J KETTMAN MD
Family Medicine
110 PLAZA CIR STE A
WATERLOO, IA 50701
Black Hawk County (319) 236-7720
HEATHER STEINBRONN ARNP
Nurse Practitioner (Family)
110 PLAZA CIR STE A
WATERLOO, IA 50701
Black Hawk County (319) 236-7720
KATIE MARIE BRIES ARNP
Nurse Practitioner (Family)
110 PLAZA CIR STE A
WATERLOO, IA 50701
Black Hawk County (319) 236-7720
MS. KAMA SARAH AUSBORN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
110 PLAZA CIR STE A
WATERLOO, IA 50701
Black Hawk County (319) 236-7720
CRYSTAL DAWN SCHRADER ARNP
Nurse Practitioner
110 PLAZA CIR STE A
WATERLOO, IA 50701
Black Hawk County (319) 236-7720
SUZANNE CRAVER DAVISON ARNP
Nurse Practitioner (Family)
110 PLAZA CIR STE A
WATERLOO, IA 50701
Black Hawk County (319) 236-7720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kettman Psychiatric Practice PC's NPI number?

The NPI number for Kettman Psychiatric Practice PC is 1477460020. It was assigned to this organization in the NPPES registry on August 27, 2026.

Where is Kettman Psychiatric Practice PC located?

Kettman Psychiatric Practice PC is located at 110 Plaza Cir Ste A, Waterloo, IA 50701. The listed phone number is (319) 236-7720.

What is Kettman Psychiatric Practice PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kettman Psychiatric Practice PC was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.